Table I.
Study | Study aim/description | Main eligibility criteria* | Main exclusion/restrictive criteria | Relapse definition/details/comments¶ |
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Trials | ||||
WEG91 (2) | Oral vs. IV cyclophosphamide for induction of remission |
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WEGENT (3) | Azathioprine vs. methotrexate for remission maintenance, after IV cyclophosphamide for induction |
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CYCLOPS (4) | Oral vs. IV cyclophosphamide for induction of remission |
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CYCAZAREM (5) | Continued oral cyclophosphamide vs. early switch to azathioprine for remission maintenance |
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IMPROVE (6) | Azathioprine vs. mycophenolate mofetil for maintenance, after IV or oral cyclophosphamide for induction |
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Cohorts | ||||
FVSG | French multicentric observational cohort |
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VCRC-GPA-MPA | North American multicentric longitudinal protocol |
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Patients with renal limited vasculitis and no general or constitutional symptoms were not included in this comparative study.
Although definitions of minor relapses are reported in this table, those (minor) relapses that did not lead to a change in immunosuppressant therapy and/or patient RCT withdrawal were not included this comparative study.
The FFS prognostic score includes 5 parameters, each of them scoring for 1 point if present: elevated serum creatinine levels (140 moles/liter or 1.58 mg/dl), proteinuria (1 gm/day), severe gastrointestinal tract involvement, cardiomyopathy, and/or central nervous system (CNS) involvement.
Data form these 7 patients were not available in the RCT report or for this study.
ACR: American College of Rheumatology; ANCA: antineutrophil cytoplasm antibody; BVAS: Birmingham Vasculitis Activity Score; FVSG: French Vasculitis Study Group; FFS: five-factor score; GPA: granulomatosis with polyangiitis; IV: intravenous; MPA: microscopic polyangiitis; RCT: randomised controlled trial; VCRC: Vasculitis Clinical Research Consortium.